Active NPI
Carolyn Elizabeth Connor, NP-C
- Family Nurse Practitioner
- Knightdale, NC
National Provider Identifier
1902209505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5008529
- Practice address
- 7201 US Highway 64 E
Knightdale, NC 27545-9268 - Phone
- (866) 389-2727
- NPI assigned
- Sep 27, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5008529 | NC | Primary |
| Family Nurse Practitioner | 363LF0000X | RN205991 | GA |
Addresses
Primary practice location
7201 US Highway 64 E
Knightdale, NC 27545-9268
Mailing address
9812 Treymore Dr
Raleigh, NC 27617-4457
Phone (252) 521-3528
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463011200000",
"number": "1902209505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9812 TREYMORE DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276174457",
"telephone_number": "252-521-3528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7201 US HIGHWAY 64 E",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275459268",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOR",
"first_name": "CAROLYN",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-27",
"last_updated": "2016-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5008529",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN205991",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knightdale, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.